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无黄疸型传染性肝炎的診断,已愈来愈引起人們的重視,并且成为目前在防治急性传染性肝炎中最重要和急待解决的問題之一。无黃疸型传染性肝炎的診断所以重要,不仅因为在近年来国內几次大流行中,无黃疸型病人所占比例显著增加(由20％升到90％以上);更由于此类患者在其整个病程中完全沒有黃疸,而且症状輕微,变化多端,易被忽略或誤診为其他疾病,成为重要的传染源,因而造成流行病学和临床上很大的困难。此类患者无論在症状、体征、实驗室检查、病理改变、病程經过、甚至治疗上与一般所熟悉的黄疸型传染性肝炎均有所不同。因此,提高对本病認識与警惕,及早作出診断是十分重要的。今就无黃疸型传染性肝炎的診断方面作一重点討論,供为参考。一、如何診断无黄疸型传染性肝炎
The diagnosis of jaundice-free infectious hepatitis has drawn more and more attention and has become one of the most important and urgent problems in the prevention and treatment of acute infectious hepatitis. The diagnosis of jaundice-free infectious hepatitis is important not only because of the significant increase (from 20% to over 90%) of jaundice-type patients in several domestic pandemics in recent years; There is absolutely no jaundice throughout the course of the disease, and the symptoms are mild and varied, easily overlooked or misdiagnosed as other diseases and become an important source of infection, resulting in great epidemiological and clinical difficulties. Such patients, regardless of symptoms, signs, laboratory tests, pathological changes, the course of the disease, and even the treatment with jaundiced infectious hepatitis are generally different are different. Therefore, to improve awareness of the disease and vigilance, early diagnosis is very important. Now no diagnosis of jaundice infectious hepatitis made a focus for reference. First, how to diagnose jaundice-free infectious hepatitis